Wolfgang Piehlmeier

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The PROSIT (Proteinuria Screening and Intervention) Project started in 1993 in order to obtain data on the prevalence of micro- and macroalbuminuria in diabetic patients treated in primary care, to establish an easy screening programme for microalbuminuria, in which also diabetic patients can participate in self-responsibility, and to implement a specific(More)
OBJECTIVE To find out if patients with insulin-dependent diabetes mellitus who had undergone successful pancreas and kidney transplantation thought that their quality of life was better than that of patients before transplantation or patients who had rejected the grafts. DESIGN Cross-sectional study. SETTING Teaching hospital, Germany. SUBJECTS 110 of(More)
BACKGROUND Epidemiological studies have shown that microalbuminuria is an important risk factor for arteriosclerosis, coronary heart disease and other vascular diseases in persons with type 2 diabetes. In the present study we examined the prevalence and risk factors for micro- and macroalbuminuria and examined glycemic control as well as treatment of(More)
OBJECTIVE The objective was to describe the resource use and costs due to predefined stages of nephropathy in diabetic patients and to evaluate its economical impact in Germany. DESIGN AND METHODS In this retrospective, observational study information about socio-demographics, clinical characteristics and resource use on adult type 1 and type 2 patients(More)
Improvement of the quality of life in Type 1 (insulin-dependent) diabetic patients with severe late complications is one of the main goals of pancreas and/or kidney grafting. To assess the influences of these treatment modalities on the different aspects of the quality of life a cross-sectional study in 157 patients was conducted. They were categorized into(More)
OBJECTIVE The importance of screening for diabetic retinopathy has been established, but the best method for screening has not yet been determined. We report on a trial of assessment of digital photographs by telemedicine compared with standard retinal photographs of the same fields and clinical examination by ophthalmologists. RESEARCH DESIGN AND METHODS(More)
Aims. To evaluate the structured PROSIT(R) disease management programme for high-risk diabetic patients in primary care with respect to the cardio-vascular risk profile and mortality. Subjects and Methods. Retrospectively 55 albuminuric Type 2 diabetic patients included into the PROSIT(R) programme from 1994 to 1999 (intervention group: age 66.6 +/- 10.5(More)
BACKGROUND To analyze effects of long-term glucose normalization after pancreas transplantation, different parameters of skin microcirculation were assessed by laser Doppler fluxmetry. METHODS Forty-two type 1 diabetic patients after successful simultaneous pancreas/kidney transplantation (Group A, median 32.3 months posttransplant), 28 patients with(More)
OBJECTIVE Obesity and hypertension are regarded as the most important determinants of left ventricular mass in the community. Little is known about sex-specific influences of obesity, hypertension, and other risk factors on left ventricular mass in pre-diabetic or diabetic subjects. RESEARCH DESIGN AND METHODS We examined how body composition, blood(More)